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目的:探讨超声弹性成像结合粗针活检诊断甲状腺结节的临床应用价值。方法:回顾性分析行超声弹性成像结合超声引导下粗针活检诊断甲状腺结节82例患者共90个结节的超声检查资料和粗针活检病理资料,最后与手术病理结果对照分析。结果:超声弹性成像诊断甲状腺良恶性结节的敏感性为83.3%、特异性为94.9%、准确性为92.5%。超声引导下粗针活检取材成功率100%,与手术病理结果符合率97.8%。结论:超声弹性成像技术诊断甲状腺结节具有较高的临床价值,结合应用超声引导下粗针穿刺活检可全面准确、安全、简便的诊断甲状腺疾病,值得在临床推广应用。
Objective: To investigate the clinical value of ultrasound elastography combined with needle biopsy in the diagnosis of thyroid nodules. Methods: Totally 90 nodules of thyroid nodules were diagnosed by ultrasound elastography combined with ultrasound-guided needle biopsy. The data of 82 cases and the pathological data of the needle biopsy were analyzed retrospectively. Finally, the data were compared with the surgical pathology results. Results: The sensitivity, specificity and accuracy of ultrasound elastography in diagnosis of benign and malignant thyroid nodules were 83.3%, 94.9% and 92.5% respectively. The success rate of needle biopsy guided by ultrasound was 100%, which was 97.8% in line with the surgical pathology results. CONCLUSION: Ultrasound elastography has a high clinical value in the diagnosis of thyroid nodules. Combined with the application of ultrasound-guided needle biopsy, it is safe and easy to diagnose thyroid diseases, which is worthy of clinical application.